National Provider Identifier [NPI]: |
1265452684 |
Last Name Of The Provider |
SVIGALS |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 CENTURY PKWY |
Street Address 2 Of The Provider |
SUITE E |
City Of The Provider |
MOUNT LAUREL |
Zip Code Of The Provider |
080541150 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
73291 |
Number Of Medicare Beneficiaries |
749 |
Total Submitted Charge Amount |
18938896 |
Total Medicare Allowed Amount |
4995475.91 |
Total Medicare Payment Amount |
3874709.5 |
Total Medicare Standardized Payment Amount |
3493134.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
67671 |
Number Of Medicare Beneficiaries With Drug Services |
628 |
Total Drug Submitted ChargeAmount |
67671 |
Total Drug Medicare AllowedAmount |
12376.88 |
Total Drug Medicare PaymentAmount |
9684.19 |
Total Drug Medicare Standardized Payment Amount |
9684.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5620 |
Number Of Medicare Beneficiaries With Medical Services |
749 |
Total Medical Submitted Charge Amount |
18871225 |
Total Medical Medicare Allowed Amount |
4983099.03 |
Total Medical Medicare Payment Amount |
3865025.31 |
Total Medical Medicare Standardized Payment Amount |
3483450.6 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
301 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
175 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
439 |
Number Of Non Hispanic White Beneficiaries |
261 |
Number Of Black or African American Beneficiaries |
396 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
467 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
282 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
8.0672 |